I'm on Lamictal 200mg in the morning, lithium, 300mg (I refuse to take any higher even though doc is begging me, whatever, the threat of weight gain and hair loss really scares the hell outta me) and trazedone 150mg at night (primarily for sleeplessness but it also happens to be an anti-depressant.

When I first started this regimen over a year ago, I experienced manic episodes that were extreme and often. However, in the past six months, depression seems to have taken precedence.
Suggestions? I just want to feel normal again.

Well, it all comes down to priorities....which is more important for you to have?? Sometimes we can only have 1 thing or the other. Not saying this is the case, but it may be. I know for me, I NEVER want to lose my mind ever again...nothing is as bad as that to me. So my choice is my mental health comes first. As far as the side effects that you are worried about, have these ever happened to you so far? If so, then you will need to decide wants more important to you??? If not, why dont you do as your doctor says unless theses things start to happen....you can always lower the dose or switch meds. It does not have to be as bad as you think. Do you really want to be normal? Than you must keep going, and do as your doc says unless its not working ( not working after doing what he says tho, not trying does not mean not working). I wish you good days ahead.

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Insanity is doing the same thing over and over again but expecting different results.